IDAHO MENTAL WELLNESS COUNSELING NPI 1629804703

NPI Information

  • NPI: 1629804703
  • Provider Name: IDAHO MENTAL WELLNESS COUNSELING
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1510 W USTICK RD STE 110
    MERIDIAN, ID
    ZIP 83646
  • Phone: (209) 906-3799

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NPI Details

IDAHO MENTAL WELLNESS COUNSELING is a mental health (including community mental health center) clinic center in Meridian, ID. IDAHO MENTAL WELLNESS COUNSELING NPI is 1629804703. The provider is registered as an organization entity type.

The provider's business location address is:

1510 W USTICK RD STE 110
MERIDIAN, ID
ZIP 83646-740
Phone: (209) 906-3799

The provider's authorized official is Karen Allen .
The authorized official title is Clinician and has the following contact phone number (209) 906-3799.

The enumeration date for this NPI number is 9/13/2024 and was last updated on 9/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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